Tutorial Unit 4 NORZALIKAIT TARAPIDU DPNNI 112022401-0011

T -
tube PTC ERCP
A procedure An Used A
done after a
x-ray test to
radiological procedure

Definisi patient 's gallbladder has identify obstructions either using endoscope to examine

removed liver bite ducts the bite ducts and pancreas

been and a
surgeon in the or

has placed a tube in the that slow or stop the flow with contrast media

patient 's right side to of bile from the liver to

being enhancement .

drain the bite ducts the digestive system .

Indicasi i. Calculus I Cholestatic

-

jaundice i. Extrahepatic biliary

ii. Dilatation of biliary ii. Melaka Kan procedur Obstruction
duct intervensi teraputik
ii.
Diffuse biliary disease

biliary drainage iii. Pancreatic diseases

-

i.
Kontraindikasi -

Cenderungmengalami i.
Oesophageal obstructions

pendarahan ii. Previous gastric surgery

ii.
Biliary tract sepsis iii. Acute pancreatitis
iii. Pesakittidak stabil iv. Pesakit HIV

Untyk prosedur
iv. Acute
pancreatitis

Persediaan •
Dilakukan di JPD •
Vjian makmal -

haemoglobin ,
•
NBM 4-6
jam sebelum
" "

pesakit selepas cholecystectomy protrombin dan jumlah iprosedur

Serpas 10 hari platelet Antibiotic elak jangkitan

•
-

•
Pesakit baring
"
supine
"
•
Prophylactic antibiotics •
Premeditation -
Pethidine 75mg ,

di Atropine
atas meja x-ray
-24
jam sebelum procsedur 0 -6
mg Cdiberikan
ditemskan I

se.be/umprosedur&prosedur
3 hari selepas jam

mengurangkan kesakitan )
•
Ampicillin 500
mg
-

mengelakkan
jangkitan
NBM 5
prosector
•

jam sebelum

•
Premeditation -
tahan sakit

Media Cnn : Hocnn @ Locnn Cnn : Locnn Cnn

controls 150mg IML -1 :

dan card
150mg ml -1120-30 ml ) ( 20-60 Mt ) a) Pancreas - Locnn 2401300

# dalam T # melalui
kemasukan suntikan Ke -

jarum yang disuntik mg I mL -1

tube mengunjur terns ke dalam duktus b) Quietus biliari Locnn 150

yang
-

ke badan pt biliari mg I mL -1
petmukaan .

*Santillan ke dalam AOV

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:#patio

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left
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normal .ms ÷¥÷-

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anatomilperalatan
yangterdapat
dalam radiograf →

pancreas;